| NPI | 1760874671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHER KURESHY Member 972-415-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 000387) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |